Film Submission Form FILM / DVD SUBMISSION FORM To contact us please complete this submissions form. Fields marked with an asterisk (*) are mandatory. * YOUR NAME: POSITION/TITLE: ADDRESS: STATE/PROVINCE: * COUNTRY: * PHONE: * E-MAIL: WEB SITE: * SERVICE(S) REQUIRED: Review Management Consulting Festival Promotion Submit To Film Festivals Films Sales and Distribution Music Licensing Internet Marketing and Promotion Press Kit * YOUR APPROXIMATE BUDGET: * THE MINIMUM YOU CAN AFFORD: AVAILABLE FINANCING OR GRANT: FILM AND CONTACT INFORMATION Original Title: English Title: Country of Production: Year of Production: Running Time: FILM TYPE: FINAL PROJECTION FORMAT: 35mm HD Cam Digi Beta Beta Sp DV Cam ASPECT RATIO FILM PRINT: 1:33 1:66 1:85 2:35 ASPECT RATIO VIDEO: 4:3 16:9 Other Please Specify: SOUND: Optical Dolby A Dolby SR Mono Digital Digital DTS PRINT SOURCE INFORMATION Primary Film Contact Name: Relationship/Position with Film: Company Name: Mailing Address:: City: State or Province: ZIP or Postal Code: Country: PRODUCTION CREDITS Director: Phone/Email: Producer: Phone/Email: PUBLICITY INFORMATION World Premiere: U.S. Premiere: U.S. West Coast Premiere: Awards, Prizes or Honorable Mentions: HOW DID YOU HEAR ABOUT US?: Internet: Search Engine Advertisment Industry Referral Magazine Music Directory Other ADDITIONAL COMMENTS: REVIEW, EMAIL SUBMISSION, AND HANDLING FEE: $75.00 For submissions from Canada 13% HST is applied. FEES / PAYMENT INFORMATION: $75.00 Start Up TRAILER Review / 30 Minutes Consulting $350.00 1 Hour DVD Review, Press Kit and Marketing Consultation $350.00 1 Hour Retainer, Management Consulting * PAYMENT METHODS: VISA MASTERCARD AMEX Western Union Money Order PAYPAL For orders above $75.00, CLICK HERE TO DOWNLOAD THE PAMENT METHOD FORM. For completion of your order either by Credit Card or Paypal, please additionally fill out the form and either fax or scan it and email to: info@whiteeaglerecords.ca * CARDHOLDER’S NAME: * CREDIT CARD NUMBER: EXPIRY DATE: 01 02 03 04 05 06 07 08 09 10 11 12 2015 2016 2017 2018 2019 2020 TOTAL AMOUNT: Note: All payments are final. No refunds will be issued. White Eagle Music Promotions is a division of White Eagle Records Limited